| Doctor Name: | DR. KEVIN D KEITH |
| NPI Number: | 1033378963 |
| Entity Type Code: | Individual (1) |
| Gender: | M |
| Credentials: | D.O. |
| License Number: | 1986 |
| Business Practice Address: | 5515 Peach St Erie, PA - 165092603 |
| Business Phone Number: | 8148644031 |
| Business Fax Number: | |
| Mailing Address: | 207 Granada Dr, EDINBORO |
| State: | PA |
| Postal Code: | 164122363 |
| Phone Number: | 8658051513 |
| Fax Number: | |
| NPI Enumeration Date: | 06/05/2008 |
| NPI Last Update Date: | 09/02/2014 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 208D00000X |
| License Number: | 1986 |
| Healthcare Provider Taxonomy: (Secondary) | N |
| State: | TN |
| Taxonomy Type: | Allopathic & Osteopathic Physicians |
| Taxonomy Classification: | General Practice |
| Taxonomy Specialization: | |
| Taxonomy Definition: | |